LIVING STANDARDS™ PLATFORM
The new standard
for standards.
The first enterprise platform for health systems to collect, improve, and enforce building design standards across every capital project — replacing PDFs, binders, and tribal knowledge with a single governed system of record.
THE COST OF THE STATUS QUO
$75M
preventable annual waste on a $500M capital program, managed today in PDFs.
THE PROBLEM
Every health system is solving the same governance problem -
from scratch.
Design standards live in PDFs, binders, and SharePoint folders no one trusts. Teams waste weeks searching for requirements. Decisions get buried in email threads. The same costly mistakes get repeated project after project.
Every health system is reinventing the same governance wheel in isolation, and paying for it on every project.
15%
of every construction project
wasted on rework, change orders,
and preventable failures.
$10B
lost across the U.S. annually on a $70B healthcare construction spend.
THE PLATFORM
Living Standards™ — one system of record,
governed at portfolio scale.
Kaizen replaces static documents with a living, governed platform built around how health systems actually work.
01— Collect
Source of truth
Upload and organize standards into a structured, searchable system with role-based access and clear ownership. No more hunting across shared drives, email threads, or someone's hard drive.
02 — Improve
Living governance
Review, update, and approve standards collaboratively with version tracking and full audit trails. Every decision is defensible — ready for any board, auditor, or regulatory review.
03 — Enforce
Applied consistently
Published standards are surfaced at the right moment on every capital project, every site, every time. Consistency becomes automatic instead of aspirational.
WHAT YOU'LL SEE
Outcomes you can measure — from the first project forward.
Fewer change
orders
Design decisions get made once and applied consistently — not rediscovered project by project.
Faster delivery
Teams spend less time hunting for requirements and more time advancing design.
Defensible decisions
Every standard has an owner, version history, and audit trail — ready for any board or regulatory review.
Lower lifecycle cost
Better-governed designs mean lower maintenance, operations, and renovation cost over the life of the building.
Portfolio consistency
From ambulatory to acute, every building reflects the same governance discipline.
WHY KAIZEN
Built for healthcare operators.
By a healthcare operator.
Procore and similar tools serve the contractors managing projects. Kaizen serves the owners who define what gets built. Different buyer, different side of the table, no existing platform.
01
Built by an operator
Our data model reflects how health systems actually structure standards. Adoption happens because the product fits how you already work.
02
A dataset that compounds
Every customer contributes standards, decisions, exceptions, and outcomes to a dataset no competitor can replicate. Each new system makes governance sharper for every system on the platform.
03
Enterprise by design
Not a repository. A governance platform that enforces standards, manages versions, and creates accountability across every site, every building type, every year.
WHY I BUILT THIS
"
After 20 years leading capital projects and working with world class systems including the Cleveland Clinic and Stanford Health, I watched every health system in the country struggle with design as a strategy. Kaizen is the platform empowering operators to capture learnings with each project and align project teams.
Becky Holden
Founder & CEO
Previously Designer for Cleveland Clinic Abu Dhabi and Design Leader for Stanford
See what governance at portfolio scale looks like.
A 30-minute briefing walks through your current standards process, shows the Living Standards™ platform, and sketches what a phased deployment could look like in your capital program.